"ATI Predictor & NCLEX Practice Exam Bundle: High-Yield
Pharmacology, Leadership, Med-Surg, Peds/OB, Psych +
Answer Key"
1.Management of Care (leadership, delegation, prioritization,
ethical/legal issues, disaster response, continuity of care)
2. Safety & Infection Control (standard vs. transmission
precautions, PPE sequence, device care, restraints, fall
prevention, fire safety, central lines, sterile technique)
3. Pharmacology (autonomic, cardiac, antibiotics, insulin,
anticoagulants, antidotes, psych meds)
4. Medical-Surgical Nursing I (cardiac + respiratory).
5. Medical-Surgical Nursing II (renal, neuro, endocrine).
6. Pediatric & Obstetric Nursing.
7. Psychiatric Nursing (therapeutic communication, crisis
intervention, depression, schizophrenia, bipolar, anxiety,
substance use, suicide precautions, psychopharmacology)
8. light review + practice set for the final prep day before the
ATI Predictor exam
,1. Leadership / Delegation — MCQ (Single best answer)
Stem: A 58-year-old post-op abdominal surgery patient (med-
surg unit), POD1, is alert, pain controlled with oral oxycodone 5
mg PRN q6h (last dose 3 hours ago). Vitals: T 37.2°C, HR 86, BP
128/76, RR 18, O₂ 97% on room air. The charge RN must assign
tasks to a UAP (UAP = unlicensed assistive personnel). Which
task is most appropriate to delegate to the UAP?
A. Reinforce the nurse-taught deep breathing and coughing
technique.
B. Administer the patient’s next oral oxycodone dose.
C. Assist the patient with ambulation to the bathroom and
report tolerance.
D. Assess the incision for signs of infection and document
findings.
Metadata
• Topic/subtopic: Delegation — UAP tasks
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Application
• Difficulty (1–5): 2
• Learning objective: Choose a safe, appropriate UAP task
for a postoperative patient.
Answer
Correct: C
,Rationale (45 words): Assisting with ambulation and reporting
tolerance are within typical UAP scope when the patient is
stable; the RN retains responsibility for assessment and
medication administration. Delegating ambulation promotes
mobility and safety while ensuring the RN follows up on
reported tolerance and complications.
Incorrect options (brief):
A. Reinforcement of teaching requires a nurse to ensure
comprehension and correct technique.
B. Medication administration is a licensed-nurse responsibility.
D. Incision assessment is a nursing assessment and not a UAP
task.
Test-taking tip: Match task complexity to the caregiver’s
scope—basic assistance/reporting is appropriate for UAP,
assessment and meds stay with licensed staff.
2. Leadership / Delegation — SATA (Select all that apply) (2
correct)
Stem: A med-surg RN is delegating tasks for four stable patients
during morning rounds. For each option below, indicate which
tasks may appropriately be delegated to a UAP (2 correct).
Patients: adult, stable, no complex assessments indicated.
Options:
A. Measure and record a stable patient’s intake and output for
the shift.
, B. Change the sterile dressing on a central line insertion site.
C. Assist a patient with partial-weight-bearing ambulation using
a walker.
D. Teach a patient how to self-administer insulin injections.
E. Obtain and record routine vital signs for a stable post-op
patient.
Metadata
• Topic/subtopic: Delegation — UAP appropriate tasks
(SATA)
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Application / Analysis
• Difficulty (1–5): 3
• Learning objective: Identify which routine care tasks are
within UAP scope for stable patients.
Answer
Correct: A, E
Rationale (55 words): UAPs commonly can measure and record
intake/output and obtain routine vital signs for stable patients
because these are delegated, non-invasive data collection tasks.
Sterile dressing changes, assisting with partial-weight-bearing
ambulation requiring judgement about gait and safety, and
teaching insulin administration require licensed-nurse skills or
licensed personnel, so are inappropriate to delegate to UAP.
Pharmacology, Leadership, Med-Surg, Peds/OB, Psych +
Answer Key"
1.Management of Care (leadership, delegation, prioritization,
ethical/legal issues, disaster response, continuity of care)
2. Safety & Infection Control (standard vs. transmission
precautions, PPE sequence, device care, restraints, fall
prevention, fire safety, central lines, sterile technique)
3. Pharmacology (autonomic, cardiac, antibiotics, insulin,
anticoagulants, antidotes, psych meds)
4. Medical-Surgical Nursing I (cardiac + respiratory).
5. Medical-Surgical Nursing II (renal, neuro, endocrine).
6. Pediatric & Obstetric Nursing.
7. Psychiatric Nursing (therapeutic communication, crisis
intervention, depression, schizophrenia, bipolar, anxiety,
substance use, suicide precautions, psychopharmacology)
8. light review + practice set for the final prep day before the
ATI Predictor exam
,1. Leadership / Delegation — MCQ (Single best answer)
Stem: A 58-year-old post-op abdominal surgery patient (med-
surg unit), POD1, is alert, pain controlled with oral oxycodone 5
mg PRN q6h (last dose 3 hours ago). Vitals: T 37.2°C, HR 86, BP
128/76, RR 18, O₂ 97% on room air. The charge RN must assign
tasks to a UAP (UAP = unlicensed assistive personnel). Which
task is most appropriate to delegate to the UAP?
A. Reinforce the nurse-taught deep breathing and coughing
technique.
B. Administer the patient’s next oral oxycodone dose.
C. Assist the patient with ambulation to the bathroom and
report tolerance.
D. Assess the incision for signs of infection and document
findings.
Metadata
• Topic/subtopic: Delegation — UAP tasks
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Application
• Difficulty (1–5): 2
• Learning objective: Choose a safe, appropriate UAP task
for a postoperative patient.
Answer
Correct: C
,Rationale (45 words): Assisting with ambulation and reporting
tolerance are within typical UAP scope when the patient is
stable; the RN retains responsibility for assessment and
medication administration. Delegating ambulation promotes
mobility and safety while ensuring the RN follows up on
reported tolerance and complications.
Incorrect options (brief):
A. Reinforcement of teaching requires a nurse to ensure
comprehension and correct technique.
B. Medication administration is a licensed-nurse responsibility.
D. Incision assessment is a nursing assessment and not a UAP
task.
Test-taking tip: Match task complexity to the caregiver’s
scope—basic assistance/reporting is appropriate for UAP,
assessment and meds stay with licensed staff.
2. Leadership / Delegation — SATA (Select all that apply) (2
correct)
Stem: A med-surg RN is delegating tasks for four stable patients
during morning rounds. For each option below, indicate which
tasks may appropriately be delegated to a UAP (2 correct).
Patients: adult, stable, no complex assessments indicated.
Options:
A. Measure and record a stable patient’s intake and output for
the shift.
, B. Change the sterile dressing on a central line insertion site.
C. Assist a patient with partial-weight-bearing ambulation using
a walker.
D. Teach a patient how to self-administer insulin injections.
E. Obtain and record routine vital signs for a stable post-op
patient.
Metadata
• Topic/subtopic: Delegation — UAP appropriate tasks
(SATA)
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Application / Analysis
• Difficulty (1–5): 3
• Learning objective: Identify which routine care tasks are
within UAP scope for stable patients.
Answer
Correct: A, E
Rationale (55 words): UAPs commonly can measure and record
intake/output and obtain routine vital signs for stable patients
because these are delegated, non-invasive data collection tasks.
Sterile dressing changes, assisting with partial-weight-bearing
ambulation requiring judgement about gait and safety, and
teaching insulin administration require licensed-nurse skills or
licensed personnel, so are inappropriate to delegate to UAP.
